RT Journal Article
SR Electronic
T1 Primary Sjögren’s syndrome with tuberculous arthritis of left knee
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0720114488
DO 10.1136/bcr.07.2011.4488
VO 2011
A1 Ting Zhang
A1 Jia Cong
A1 Dong Xu
A1 Xiaomei Leng
A1 Fengchun Zhang
YR 2011
UL http://casereports.bmj.com/content/2011/bcr.07.2011.4488.abstract
AB A 56-year-old woman presented with recurrent pain and swelling of left knee, Raynaud’s phenomenon and dry mouth. She was initially diagnosed with primary Sjögren’s syndrome and was put on prednisone, which substantially relieved her complaints. But 8 months later, pain and swelling of left knee recurred with spiking fever, chills and shortness of breath. Escalation of prednisone did not improve the pain and swelling of left knee. CT of chest revealed pulmonary interstitial changes with coexisting infection. MRI of left knee was highly consistent with tuberculous arthritis, which was further confirmed by positive blood culture of Mycobacterium tuberculosis and acid-fast stain of synovial fluid.